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NPI Code Detail

MEDICARE: AMBER CELESTE RUIZ MA, LPC

MEDICARE: AMBER CELESTE RUIZ MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor14128TX
2104100000XSocial Worker58613TX
3101YP2500XProfessional Counselor78192TX

General Provider Information

NPI Number : 1598396483
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER CELESTE RUIZ MA, LPC
Provider Business Mailing Address
First Line : 902 BONHAM ST
Second Line :
City : MIDLAND
State : TX
Zip : 79703-5566
Country : US
Telephone Number : 432-770-6369
Fax Number :
Provider Business Practice Location Address
First Line : 2301 W MICHIGAN AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-5829
Country : US
Telephone Number : 432-620-1160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2020
Last Update Date : 04/21/2025

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